LOA Form

Letter of Authorization

All information MUST match the current Invoice or Bill “Exactly”
COMPANY NAME
CUSTOMER NAME - Authorized Person as it appears on the current Invoice or Bill

First NameLast Name
CUSTOMER ADDRESS - as it appears on the current Invoice or Bill

Street Address

Street Address Line 2

CityState

Zip CodeCountry
BILLING TELEPHONE NUMBER - Number the current carrier has on account
Please enter a valid phone number.Format: (000) 000-0000.
FULL ACCOUNT NUMBER - That matches the current carriers Invoice or bill
ACCOUNT PIN - if applicable
Number(s) porting in. For Toll-Free or Fax Numbers fill out a separate LOA form
Bill or Invoice Upload - Recent within the last 45 days

Invoice or Bill that matches this LOA forum
Cancelof
Those numbers are?
Caller ID "Name" when dialing out
Up to 15 characters including spaces
RespOrg ID: WLS27
Signature
Date

MonthDayYear
Date
Should be Empty:

Letter of Authorization